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Tularaemia: a case report and review.
Filip Mejza1, Katarzyna Kruczak2, Krzysztof Sładek2
1Evidence Based Medicine Unit, Institute of Cardiology, Jagiellonian University Medical College, Poland.
Przeglad Epidemiologiczny
|October 26, 2021
Summary
Tularaemia, a rare infectious disease caused by Francisella tularensis, presents with diverse symptoms. Early diagnosis is crucial for effective treatment, especially in ulceroglandular forms.
Area of Science:
- Infectious Diseases
- Bacteriology
- Epidemiology
Background:
- Tularaemia is a rare zoonotic disease caused by Francisella tularensis.
- In Poland, infections are primarily due to Francisella tularensis subspecies holarctica (type B).
- The disease affects various animal species and is transmitted to humans through insect bites, animal contact, inhalation, or ingestion.
Observation:
- Human tularaemia cases in Poland are infrequent, typically numbering just over a dozen annually.
- The ulceroglandular form is the most common clinical presentation, varying with the infection route.
- A case of the ulceroglandular form is presented, detailing its epidemiology, clinical aspects, diagnosis, and treatment.
Findings:
- Delayed diagnosis is common due to tularaemia's low prevalence and varied clinical manifestations.
- Francisella tularensis subspecies holarctica is the main causative agent in Poland.
- Ulceroglandular tularaemia is the most frequent clinical form observed.
Implications:
- Tularaemia should be considered in the differential diagnosis of fever with lymphadenopathy.
- The disease requires inclusion in the differential diagnosis for atypical respiratory infections.
- Awareness of tularaemia's diverse presentations aids in timely diagnosis and management.

